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HALO MEDICAL GROUP NPI 1467506451


NPI Information

NPI: 1467506451
Provider Name: HALO MEDICAL GROUP

Doing Business As: DESERT MEDICAL IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
74785 US HIGHWAY 111
SUITE 101
INDIAN WELLS, CA
ZIP 92210
Phone: (760) 776-8989
Get Directions

HALO MEDICAL GROUP is a diagnostic radiology radiology in Indian Wells, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. HALO MEDICAL GROUP NPI is 1467506451. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Desert Medical Imaging.

The provider's business location address is:

74785 US HIGHWAY 111
SUITE 101
INDIAN WELLS, CA
ZIP 92210-128
Phone: (760) 776-8989
Fax: (760) 501-0311

The provider's authorized official is Cory Hammond .
The authorized official title is Cfo and has the following contact phone number (760) 776-8989.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 4/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207V00000XObstetrics & GynecologyNo
32085N0700XRadiologyNeuroradiologyNo
42085R0204XRadiologyVascular & Interventional RadiologyNo
52085U0001XRadiologyDiagnostic UltrasoundNo
6208800000XUrologyNo
72085R0202XRadiologyDiagnostic RadiologyFNP25453CALIFORNIAYes
8213E00000XPodiatristNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ02402ZOTHERCALIFORNIABLUE SHIELD PIN
2GR0083071MEDICAIDCALIFORNIA
3GR0083072MEDICAIDCALIFORNIA
4ZZZ64094ZOTHERCALIFORNIABLUE CROSS
5ZZZ05859ZOTHERCALIFORNIABLUE SHIELD PIN
6ZZZ57290ZOTHERCALIFORNIABLUE CROSS
7GR0083070MEDICAIDCALIFORNIA
8CK9031OTHERCALIFORNIARAILROAD MEDICARE
9ZZZ57290ZOTHERCALIFORNIABLUE SHIELD PIN
10ZZZ64094ZOTHERCALIFORNIABLUE SHIELD PIN
11GR0083073MEDICAIDCALIFORNIA
12ZZZ02402ZOTHERCALIFORNIABLUE CROSS
13ZZZ05859ZOTHERCALIFORNIABLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.